Healthcare Provider Details

I. General information

NPI: 1629325766
Provider Name (Legal Business Name): JULIANNA VROMAN M.A., ED.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 ROUTE 35 N
NEPTUNE NJ
07753-4604
US

IV. Provider business mailing address

402 ROUTE 35 N
NEPTUNE NJ
07753-4604
US

V. Phone/Fax

Practice location:
  • Phone: 732-869-2791
  • Fax: 732-869-9798
Mailing address:
  • Phone: 732-869-2791
  • Fax: 732-869-9798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00459200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: